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NPI Code Detail

MEDICARE: UNIVERSITY OF ALABAMA AT BIRMINGHAM

MEDICARE: UNIVERSITY OF ALABAMA AT BIRMINGHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1284300000XSpecial Hospital

General Provider Information

NPI Number : 1265784292
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF ALABAMA AT BIRMINGHAM
Provider Business Mailing Address
First Line : FOT 1164 1720 2ND AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35294-3411
Country : US
Telephone Number : 205-934-3245
Fax Number :
Provider Business Practice Location Address
First Line : FOT 1164 1720 2 ND AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35294-3411
Country : US
Telephone Number : 205-934-3245
Fax Number :
Authorized Official
Title or Position : FELLOW
Name : GUILLERMO OSWALDO RAMOS GALLARDO
Credential : MD
Telephone Number : 205-934-3245
Provider Enumeration Date : 10/15/2012
Last Update Date : 10/15/2012

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Directions to “UNIVERSITY OF ALABAMA AT BIRMINGHAM ” Practice Location

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